What is Kelsi Tidball's NPI number?

Kelsi Tidball's National Provider Identifier (NPI) is 1093121014, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kelsi Tidball's specialty?

Kelsi Tidball is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Kelsi Tidball located?

Kelsi Tidball's practice location on file with NPPES is 1310 Coburg Rd Ste 5, Eugene, OR 97401-5200.

What is Kelsi Tidball's phone number?

The practice phone number listed in the NPPES registry for Kelsi Tidball is (541) 345-7532.

Is Kelsi Tidball's NPI active?

Yes — Kelsi Tidball's NPI (1093121014) is active in the NPPES registry as of the last update on 2014-07-10.

IndividualActive

Kelsi Tidball

NPI 1093121014 · Specialist · Eugene, OR

Kelsi Tidball is a Specialist provider in Eugene, OR (NPI 1093121014).

Provider details

NPI number: 1093121014
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Sex: Female
Sole proprietor: No
License: 16665 (OR)

Specialties & taxonomies

SpecialistPrimary174400000XLicense 16665 (OR)
Other Service Providers

Profile Score

Detailed profile(76/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1310 Coburg Rd Ste 5

Eugene, OR 97401-5200

Phone: (541) 345-7532

Fax: (541) 345-6692

Street-level locationGet directions

More OR providers

Mailing address